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巴西住院精神障碍患者和基层卫生单位患者对吸烟问题的看法。

Opinions of Hospitalized Patients with Mental Disorders and Patients in Basic Health Units in Brazil Regarding Tobacco Smoking.

机构信息

a Psychiatric Nursing Program, Ribeirão Preto College of Nursing (EERP/University of São Paulo) , Ribeirão Preto , São Paulo , Brazil.

b Faculty of Medicine of Ribeirao Preto, University of São Paulo , São Paulo , Brazil.

出版信息

Issues Ment Health Nurs. 2018 Dec;39(12):1031-1038. doi: 10.1080/01612840.2017.1418033. Epub 2019 Jan 8.

Abstract

This study aims to investigate the opinions of psychiatric patients and the general population on the smoking ban in health service facilities. A cross-sectional study was carried out in a mental health outpatient care unit (MHOC; n = 126), a psychiatric hospital (PH; n = 126), and a basic health unit (BHU; n = 126). The participants in the hospital were less in favor of the smoking ban compared with those attending out-of-hospital units (MHOC, 84%; PH, 69%; and BHU, 100%). Subjects with four or more psychiatric admissions (odds ratio (OR), 3.24) and smokers (OR, 3.18) were most likely to agree that patients have the right to smoke in health service facilities. The psychiatric population was less tolerant of the smoking ban, reflecting the culture of smoking in mental health service facilities.

摘要

本研究旨在调查精神科患者和一般人群对医疗机构禁烟令的看法。采用横断面研究方法,在精神科门诊(MHOC;n=126)、精神病院(PH;n=126)和基层卫生单位(BHU;n=126)中进行。与在院患者相比,在院外机构(MHOC,84%;PH,69%;BHU,100%)就诊的患者对禁烟令的支持率更低。有 4 次或以上精神科住院史的患者(比值比(OR),3.24)和吸烟者(OR,3.18)最有可能认为患者有权在医疗机构吸烟。精神科人群对禁烟令的容忍度较低,反映了精神卫生服务机构中的吸烟文化。

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